What to Look for in a PPO Negotiator

What if your practice could receive a couple of thousand dollars in additional reimbursement payments every month without needing to increase your chair time? PPO negotiation services aim to do just that. PPO negotiators will work with every insurance company you are in-network with to increase your reimbursement rates. However, it’s important to choose the right partner. What should you look for in a PPO negotiator?

Persistence

Any dentist who has dealt with insurance companies knows that one thing is important above all else—persistence. If you do not have the dedication to follow up with companies and ensure that they are on top of things like processing your paperwork, it will take a great deal of time to get done. The right PPO negotiator will contact your insurance company regularly to get better reimbursement rates for your procedures.

Knowledge

Dealing with PPOs also requires a great deal of background knowledge. Anyone new to the world of insurance companies and reimbursements will not do an adequate job of negotiating on your behalf. Instead, you should choose a PPO negotiator who has a great deal of experience working with insurance companies on behalf of dental practices like yours.

Strategy

Some dentists assume the PPO negotiation process is easy and try to undertake it themselves by simply asking for every reimbursement rate to be raised. Insurance companies do not blindly approve requests, so a developed strategy is needed to get the best possible results. APEX Reimbursement Specialists develops unique strategies for every one of our clients to ensure the greatest likelihood of success. 

Reputation

If you were entering the courtroom, would you want an experienced trial lawyer on your side who the judge instantly recognized due to past successes? Or, would you want a new lawyer in a wrinkled suit with a copy of Law School for Dummies? The same question comes into play when choosing your PPO negotiator. Choose a negotiator with a great reputation with other area dental practices. If they work hard for others in the area and have great success, there is a good chance that they will also work just as hard for you.

PPO Reimbursement Negotiation from APEX

APEX Reimbursement Specialists can handle the credentialing process and negotiate with PPOs on your behalf. Contact our team today by calling (410) 710-6005. We look forward to working with you to make your practice a more profitable place.